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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100279

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clara IsabellWeatherbee Sex Female

Date of Birth April 11, 1920 Place of Birth Upper BelmontCounty of Colchester

Name of Father Wesley Weatherbee MAIDEN NAME of Mother Myrtle  Teed

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Upper Belmont Present address of Father deceased

Occupation of Father at Birth of child Woodsman Place of birth of Father Upper Belmont

Race Name and present address of Physician in attendance at birth

Signature of Applicant Clara I. Chapman Address of Applicant Truro Date August 29, 1984

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clara IsabellWeatherbee

Born at Upper Belmont in the County of Colchester

That Clara IsabellWeatherbee Whose Birth is sought to be registered was

born at Upper Belmont Colchester County on April 11, 1920

My knowledge of the fact and date of such Birth is based on the following Circumstances:

A leaf from our old Family Bible shows the correct spelling of my middle name (Isabell) should be used. A letter with name and date of birth taken from an old school register (these documents enclosed)

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